HomeMy WebLinkAboutPermit Permanent Sign SN-92-905A - COMMUNITY LUTHERN CHURCHOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19 Permit Number I r2-
Applicant06�I� G✓ r %%U/2�/�,�CD� Gc�r/1`lu�ur� LctTC/uJ �}FC>i2CK�
No. Street
Town or City State Phone No.
Name of bul in No. Street
sCoa L
Square footage of sign %
Height of Sign
d
Estimated cost & Date of erection
72
Name of Erector 40 w' 2M y
SUYLUN�UAfAddressV?` 4 - ,f j
Town or City State Phone No.
Consent of Owner:
The above named person is duly authorized to make
application on my behalf. I believe the statements contained
herein are true to the best of my knowledge.
Signature of A leant —6��
PP Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED ,�ITsZ
Date
Reason for rejection-----j`
Issued to Al, tv -114 r 4 ez
Fee Computation Code Officer
o
Date S Z 19 j